Rheumatic Heart Disease in Indigenous Populations-New Zealand Experience

被引:38
|
作者
Wilson, Nigel [1 ,2 ]
机构
[1] Starship Childrens Hosp, Green Lane Paediat Serv, Auckland 1142, New Zealand
[2] Starship Childrens Hosp, Congenital Cardiac Serv, Auckland 1142, New Zealand
来源
HEART LUNG AND CIRCULATION | 2010年 / 19卷 / 5-6期
关键词
Rheumatic heart disease; Indigenous health; TERM FOLLOW-UP; SUBCLINICAL CARDITIS; DOPPLER-ECHOCARDIOGRAPHY; MITRAL REGURGITATION; PORCINE VALVE; FEVER; STREPTOCOCCI; DIAGNOSIS; PROPHYLAXIS; AUCKLAND;
D O I
10.1016/j.hlc.2010.02.021
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Rheumatic fever continues unabated among the indigenous Maori and Pacific Island New Zealanders. Ethnic disparities have increased in the past decade. The major success story for disease control has been secondary penicillin prophylaxis with 28-day intramuscular benzathine penicillin with high penicillin delivery rates and low recurrence rates. A landmark study for primary prevention of acute rheumatic fever for group A streptococcal pharyngitis was published in 2009. New Zealand has helped establish the role of echocardiography in acute rheumatic fever, with subclinical carditis incorporated into guidelines as a major criterion of rheumatic fever in high prevalence regions. The rates of mitral valve repair for rheumatic heart disease (RHD) are currently greater than 90% in the children's cardiac unit but remain low in adult cardiac units in New Zealand. This is particularly relevant to women of child bearing age where New Zealand data has shown that pregnancy outcomes for mothers with prosthetic valves on warfarin are poor. There are new initiatives to prevent severe RHD using portable echocardiography by screening school aged children. The prevalence of definite RHD was 2.4% in a large cohort of socially disadvantaged children in South Auckland studied in 2007-2008. Cost benefit models of screening need to be developed. Ongoing research involves international consensus standardisation of RHD patterns, and the need to define the natural history of subclinical RHD. (Heart, Lung and Circulation 2010;19:282-288) (C) 2010 Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:282 / 288
页数:7
相关论文
共 50 条
  • [1] Rheumatic Heart Disease in Indigenous Populations
    White, Harvey
    Walsh, Warren
    Brown, Alex
    Riddell, Tania
    Tonkin, Andrew
    Jeremy, Richmond
    Brieger, David
    Zeitz, Chris
    Kritharides, Leonard
    [J]. HEART LUNG AND CIRCULATION, 2010, 19 (5-6): : 273 - 281
  • [2] Systematic review of rheumatic disease phenotypes and outcomes in the Indigenous populations of Canada, the USA, Australia and New Zealand
    Kelle Hurd
    Cheryl Barnabe
    [J]. Rheumatology International, 2017, 37 : 503 - 521
  • [3] Mortality in Indigenous Populations of Canada, the United States, Australia, and New Zealand with Rheumatic Disease: a Systematic Review
    Hurd, Kelle
    Barnabe, Cheryl
    [J]. JOURNAL OF RHEUMATOLOGY, 2017, 44 (06) : 929 - 929
  • [4] Systematic review of rheumatic disease phenotypes and outcomes in the Indigenous populations of Canada, the USA, Australia and New Zealand
    Hurd, Kelle
    Barnabe, Cheryl
    [J]. RHEUMATOLOGY INTERNATIONAL, 2017, 37 (04) : 503 - 521
  • [5] Mortality in Indigenous Populations of Canada, the United States, Australia, and New Zealand with Rheumatic Disease: A Systematic Review
    Hurd, Kelle
    Barnabe, Cheryl
    [J]. ARTHRITIS & RHEUMATOLOGY, 2016, 68
  • [6] Systematic review of rheumatic disease epidemiology in the indigenous populations of Canada, the United States, Australia, and New Zealand
    McDougall, Cairistin
    Hurd, Kelle
    Barnabe, Cheryl
    [J]. SEMINARS IN ARTHRITIS AND RHEUMATISM, 2017, 46 (05) : 675 - 686
  • [7] A Systematic Review of Rheumatic Disease Epidemiology in the Indigenous Populations of Canada, the United States, Australia and New Zealand
    McDougall, Cairistin
    Hurd, Kelle
    Barnabe, Cheryl
    [J]. ARTHRITIS & RHEUMATOLOGY, 2016, 68
  • [8] Newly diagnosed rheumatic heart disease among indigenous populations in the Pacific
    Mirabel, Mariana
    Tafflet, Muriel
    Noel, Baptiste
    Parks, Tom
    Axler, Olivier
    Robert, Jacques
    Nadra, Marie
    Phelippeau, Gwendolyne
    Descloux, Elodie
    Cazorla, Cecile
    Missotte, Isabelle
    Gervolino, Shirley
    Barguil, Yann
    Rouchon, Bernard
    Laumond, Sylvie
    Jubeau, Thierry
    Braunstein, Corinne
    Empana, Jean-Philippe
    Marijon, Eloi
    Jouven, Xavier
    [J]. HEART, 2015, 101 (23) : 1901 - 1906
  • [9] Is Rheumatic Disease Really More Severe in Indigenous Populations? a Systematic Review of Clinical Outcomes in Indigenous Populations of Canada, the United States, Australia and New Zealand
    Hurd, Kelle
    Barnabe, Cheryl
    [J]. ARTHRITIS & RHEUMATOLOGY, 2015, 67
  • [10] Heart transplantation in indigenous people: the New Zealand Maori experience
    Ruygrok, P. N.
    Stewart, F. R. D.
    Gibbs, H. C.
    Sidhu, K. K.
    Wasywich, C. A.
    Coverdale, H. A.
    [J]. EUROPEAN HEART JOURNAL, 2013, 34 : 392 - 392